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Illinois rates for HCPCS 0431T

Removal and replacement of neurostimulator system for treatment of central sleep apnea, pulse generator only

Facilitymedian $8,913 · 10th–90th $1,995–$11,2200%10%20%10th90th$8,913Professionalmedian $347 · 10th–90th $126–$5750%10%10th90th$347$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $199.53 / $346.74
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $9,332.54 / $11,220.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $446.68 / $602.56